ANZHFR: Australia and New Zealand's Premier Hip Fracture Quality Registry
Ten years of proven quality improvement with measurable, sustained results across 500+ hospitals
point improvement in cognitive assessment
point improvement in nerve blocks
point improvement in bone protection
Comprehensive Hip Fracture Quality Improvement
The Australia and New Zealand Hip Fracture Registry (ANZHFR) is a bi-national clinical quality registry that captures data on hip fracture care and outcomes across Australia and New Zealand. Established with the goal of improving hip fracture management and patient outcomes, ANZHFR has become the gold standard for systematic quality improvement in fragility fracture care.
Clinical Data Capture
Point-of-care data collection capturing comprehensive information about patient demographics, injury mechanism, treatment pathway, surgical procedures, complications, and length of stay.
Mobile-responsive interface enables bedside data entry by clinical staff, with smart forms that guide appropriate data collection and validate entries in real-time.
Outcome Tracking
Systematic follow-up of patient outcomes including 30-day mortality, complications, functional status, discharge destination, and patient-reported measures.
Longitudinal tracking enables measurement of care quality across the entire patient journey, from admission through recovery.
Quality Metrics Monitoring
Real-time monitoring against evidence-based quality indicators: time to surgery, pre-operative cognitive assessment, pain management, orthogeriatric care, bone protection medication.
Each indicator is based on best-practice guidelines and international evidence.
Benchmarking
Performance comparison across hospital-to-hospital, regional, and national levels with risk-adjusted metrics accounting for patient complexity.
Benchmarking creates healthy competition and enables hospitals to learn from high-performing sites.
Patient-Reported Outcomes
Direct engagement with patients through SMS-based PROMs collection with multi-language support and automated follow-up scheduling.
60%+ response rates through intelligent automation. Patient voice is central to quality improvement.
Research & Evidence
Registry data supports clinical research, practice guideline development, health policy recommendations, and quality improvement initiatives.
ANZHFR data has contributed to dozens of peer-reviewed publications, including Māori-specific outcome research.
Measurable Improvements: 2016-2020 and Beyond
The ANZHFR demonstrates what systematic quality improvement achieves. Through transparent data publication and targeted interventions, ANZHFR has delivered sustained, measurable improvements across multiple clinical quality indicators.
Pre-operative Cognitive Assessment
Earlier identification of high-risk patients enables proactive delirium prevention interventions, reducing length of stay and improving patient experience.
Nerve Blocks Before Theatre
Better pain control enables earlier mobilization, reduces delirium risk, and improves patient satisfaction while minimizing opioid-related complications.
Bone Protection on Discharge
Bone protection reduces risk of future fractures by 40-50%, preventing repeat hospitalizations and improving long-term patient outcomes.
These improvements are not one-time gains—they represent sustained, year-over-year progress that continues beyond 2020. The ANZHFR model proves that clinical registries drive continuous quality improvement through transparency, benchmarking, gap identification, targeted intervention, and continuous monitoring.
Trusted by Healthcare Leaders Across Two Nations
Transforming Hip Fracture Care Across Multiple Dimensions
Clinical Quality
- • Better protocol adherence
- • Fewer complications
- • Reduced mortality
- • Improved functional outcomes
- • Enhanced pain management
Health Equity
- • Māori-specific research published
- • Ethnic disparities identified and tracked
- • Geographic variation analyzed
- • Targeted interventions for high-burden populations
Research & Evidence
- • 50+ peer-reviewed publications
- • International guideline contributions
- • Policy recommendations
- • Health services research
Resource Utilization
- • Reduced length of stay
- • Fewer readmissions
- • Prevented complications
- • Cost savings of $3-5 per $1 invested
Explore the ANZHFR Website
For detailed information about the Australia and New Zealand Hip Fracture Registry, including annual reports, research publications, and current performance data, visit the official ANZHFR website.
Visit ANZHFR.org →Ready to Join ANZHFR?
Join 500+ hospitals using ANZHFR to drive measurable improvements in hip fracture care quality. Whether you're a large tertiary center or a regional hospital, ANZHFR provides the tools and support you need for systematic quality improvement.